Organization
MORTON DRUG CO INC
Active
Other names
Morton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MORTON RPH (V.P. OPERATIONS)
(920) 882-6333
Entity
Organization
Contact information
Practice address
2500 E CAPITOL DR STE 1500, APPLETON, WI 54911-8735
(920) 882-6333
(920) 882-6633
Mailing address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 882-6333
(920) 882-6633
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8948-042
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053645986
—
WI
01
—
5131759
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/24/2009
Last updated
09/08/2010
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